Individual
JEANNA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 E GRAND AVE FL 6, CHICAGO, IL 60611-3311
(312) 229-0170
(312) 600-9072
Mailing address
211 E GRAND AVE FL 6, CHICAGO, IL 60611-3311
(312) 229-0170
(312) 600-9072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011885
IL
Other
Enumeration date
02/09/2016
Last updated
09/28/2021
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